| Ms Nadine Angela Ennis, PAC | |
|
3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 | |
| (404) 696-7300 | |
| (404) 699-3514 |
| Full Name | Ms Nadine Angela Ennis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 3620 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962571612 | NPI | - | NPPES |
| 457877647A | Medicaid | GA | |
| 457877647C | Medicaid | GA | |
| 457877647D | Medicaid | GA | |
| 457877647B | Medicaid | GA | |
| 457877647E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 004493 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Atlanta Nephrology, Pc | 2062315088 | 9 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nadine Angela Ennis, PAC 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 Ph: (404) 696-7300 | Ms Nadine Angela Ennis, PAC 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 Ph: (404) 696-7300 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 | |
Dacenta Grice, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 | |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 | |
Kristen Swain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 | |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 | |
Anh Van Trieu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 Tullie Rd Ne, Atlanta, GA 30329 Phone: 404-785-5437 | |
Cameron R Martin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-4473 |